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HomeMy WebLinkAboutPermit Fence 1994-6-29 . . , FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: 726-3759 726-3769 Job Location: ?'?7 ,~~~8/Z?c;.E Assessors Map II: /?-4:J':f-::ar:::~/2 Ovner:----'=--~~v 1"1&1?~~ ~ ~&;#~ Address: ~ City: 4.p~ State: ;?'/'-=?~ Tax Lot II: O~/fi' Phone II: -74/7 - :J>C;"::;1" Zip: q;?y;;:r:;> Value of Fence: ~~~. ~ Fence Permit is $5.00 Contractor/Installer: ~'t?'Z2'.-'7~/-EC'~~ ~. Address: tI~"':3JC3 ~;O<;?~ Phone II: 6i?"9- '7"/21!f3 City: - C .' ,-::r. ~&;,::-C!!? State: ~~. Zip: ~:;:;>9'~2 Construction Contractors Registration II: ha:::>2'-T Expires: ...;-"-~ Ly signing this permit/application, I agree to call for an inspection once my fence has been constructed (726-3769). I also stated that all information on this application/permit is correct and that I vas provided vith the Springfield Development code requirements for fence standards.' IJa~~ Co ~ ~ q -q 4 Date ; FOR OFFICE USE Date of Application:_ h-~-"'}7" Receipt II /?JhBg Issued JOB II: -9y<==,~.::::: BY:~~ ~ ~- . Total Amount Collected: Checked for Delinquendes: -?':'~ .---- Checked for Historic"l St"tus: _